GLSCUA 2005 Bob ‘Hambone’ Hamilton Unsung Hero Award

Nominee: Name: ______________________ Member #___ Clown name: _____________ Unit: ____________ Address: __________________ City: __________ State: ____________________ Zip: ___________ Telephone: ________________________________ Narrative: Print or type. (use extra pages if needed) _________________________________________ _________________________________________ _________________________________________ _________________________________________ Nominated by: ________________Unit: __________ Member #_______ Phone: _____________________     Mail to: Secretary Lynn Barnett, 516 South Day, West Frankfort, IL. 62896 by July 1, 2005